Transforming The Medical Device Industry: Road Map To A Circular Economy

MacNeill, Andrea; Hopf, Harriet W.; Khanuja, Aman; Alizamir, Saed; Bilec, Melissa M.; Eckelman, Matthew J.; Hernandez, Lyndon V.; McGain, Forbes; Simonsen, Kari; Thiel, Cassandra L.; Young, Steven B.; Lagasse, Robert S.; Sherman, Jodi D.

doi:10.1377/hlthaff.2020.01118

Cited by 114 publications

(127 citation statements)

References 27 publications

Supporting

Mentioning

121

Contrasting

Unclassified

Order By: Relevance

“…For the first time, the relative environmental effects of single-use and reusable equipment used in surgical settings can readily be compared. Our findings provide evidence in support of calls to reverse the three-decades-long trend toward reliance on single-use medical devices and transition to a more circular, reusable-based health care economy that prioritizes patient safety, affordability, supply chain resilience, and environmental sustainability (MacNeill et al 2020).…”

Section: Discussionsupporting

confidence: 54%

Operating in a Climate Crisis: A State-of-the-Science Review of Life Cycle Assessment within Surgical and Anesthetic Care

Drew

Christie

Tyedmers

et al. 2021

Environ Health Perspect

View full text Add to dashboard Cite

BACKGROUND: Both human health and the health systems we depend on are increasingly threatened by a range of environmental crises, including climate change. Paradoxically, health care provision is a significant driver of environmental pollution, with surgical and anesthetic services among the most resource-intensive components of the health system. OBJECTIVES: This analysis aimed to summarize the state of life cycle assessment (LCA) practice as applied to surgical and anesthetic care via review of extant literature assessing environmental impacts of related services, procedures, equipment, and pharmaceuticals. METHODS: A state-of-the-science review was undertaken following a registered protocol and a standardized, LCA-specific reporting framework. Three bibliographic databases (Scopus ® , PubMed, and Embase ® ) and the gray literature were searched. Inclusion criteria were applied, eligible entries critically appraised, and key methodological data and results extracted. RESULTS: From 1,316 identified records, 44 studies were eligible for inclusion. The annual climate impact of operating surgical suites ranged between 3,200,000 and 5,200,000 kg CO 2 e. The climate impact of individual surgical procedures varied considerably, with estimates ranging from 6 to 1,007 kg CO 2 e. Anesthetic gases; single-use equipment; and heating, ventilation, and air conditioning system operation were the main emissions hot spots identified among operating room-and procedure-specific analyses. Single-use equipment used in surgical settings was generally more harmful than equivalent reusable items across a range of environmental parameters. Life cycle inventories have been assembled and associated climate impacts calculated for three anesthetic gases (2-85 kg CO 2 e=MAC-h) and 20 injectable anesthetic drugs (0:01-3:0 kg CO 2 e=gAPI). DISCUSSION: Despite the recent proliferation of surgical and anesthesiology-related LCAs, extant studies address a miniscule fraction of the numerous services, procedures, and products available today. Methodological heterogeneity, external validity, and a lack of background life cycle inventory data related to many essential surgical and anesthetic inputs are key limitations of the current evidence base. This review provides an indication of the spectrum of environmental impacts associated with surgical and anesthetic care at various scales.

show abstract

Section: Discussionsupporting

confidence: 54%

Operating in a Climate Crisis: A State-of-the-Science Review of Life Cycle Assessment within Surgical and Anesthetic Care

Drew

Christie

Tyedmers

et al. 2021

Environ Health Perspect

View full text Add to dashboard Cite

show abstract

“…With the application of a circular economy model, "ownership gives way to stewardship." 12 Under a servitization model, health service providers no longer own products or absorb the cost of their repairs. Manufacturers and suppliers are instead held responsible for performance.…”

Section: Adopt Product As a Service (Servitization)mentioning

confidence: 99%

“…Moreover, they may be under the false impression that SUDs reduce hospital-acquired infections. 12 However, many thirdparty vendors are now emerging to allow hospitals to outsource liability and the infrastructure needed for reprocessing. Emphasizing reusable products over SUDs can also contribute to climate resilience, reducing healthcare dependence of on a potentially vulnerable supply chain.…”

Section: Reduce Single Usementioning

confidence: 99%

“…Extended producer responsibility can be an effective means to support the creation of a circular economy. 12 Extended producer responsibility is a model where companies that produce products are responsible for the collection, reuse, recycling, and/or end-oflife management of their products and packaging. This shifts product design and distribution to suppliers and has the potential to reduce GHG emissions if the materials are reprocessed and fewer new resources are used.…”

Section: Promote Extended Producer Responsibility and Take Back Programsmentioning

confidence: 99%

See 1 more Smart Citation

Leadership for a climate resilient, net-zero health system: Transforming supply chains to the circular economy

Ritchie¹

2021

Healthc Manage Forum

View full text Add to dashboard Cite

The global pandemic has taught us that we can focus the attention of the healthcare system on a clear intention when there is a looming threat. Climate action is required from multiple stakeholders particularly private sector suppliers in order to achieve the net-zero carbon emission by 2050 goal established by the Canadian government. Also building climate resilience among healthcare institutions and their supply chains is urgently needed, as they are already affected by a changing climate. By adopting a circular economy framework, the industry can move away from the current damaging take, make waste economic model and adopt a more sustainable model characterized by designing out waste and pollution, keeping products and materials in use, and regenerating natural systems. Health leaders can adopt sharing platforms, product as a service, reduce single use products, encourage extended producer responsibility, and value-based procurement in order to further these aims.

show abstract

“…The growing amount of hazardous and contagious healthcare waste created as a result of advances in patient treatment has posed a significant threat to the entire planet [ 5 ]. The healthcare sector accounts for approximately 4.6 percent of global greenhouse-gas emissions [ 7 ]. From the viewpoint of healthcare, the volume of waste generated during these periods of outbreak crisis has provided various opportunities for the implementation of principles driven by the Circular Economy (CE), invovlving treatment of medical waste and the local procurement/recovery of essential raw materials [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Big Data-Enabled Solutions Framework to Overcoming the Barriers to Circular Economy Initiatives in Healthcare Sector

Kazançoğlu

Sağnak

Lafçı

et al. 2021

IJERPH

View full text Add to dashboard Cite

Ever-changing conditions and emerging new challenges affect the ability of the healthcare sector to survive with the current system, and to maintain its processes effectively. In the healthcare sector, the conservation of the natural resources is being obstructed by insufficient infrastructure for managing residual waste resulting from single-use medical materials, increased energy use, and its environmental burden. In this context, circularity and sustainability concepts have become essential in healthcare to meliorate the sector’s negative impacts on the environment. The main aim of this study is to identify the barriers related to circular economy (CE) in the healthcare sector, apply big data analytics in healthcare, and provide solutions to these barriers. The contribution of this research is the detailed examination of the current healthcare literature about CE adaptation, and a proposal for a big data-enabled solutions framework to barriers to circularity, using fuzzy best-worst Method (BWM) and fuzzy VIKOR. Based on the findings, managerial, policy, and theoretical implementations are recommended to support sustainable development initiatives in the healthcare sector.

show abstract

Transforming The Medical Device Industry: Road Map To A Circular Economy

Cited by 114 publications

References 27 publications

Operating in a Climate Crisis: A State-of-the-Science Review of Life Cycle Assessment within Surgical and Anesthetic Care

Operating in a Climate Crisis: A State-of-the-Science Review of Life Cycle Assessment within Surgical and Anesthetic Care

Leadership for a climate resilient, net-zero health system: Transforming supply chains to the circular economy

Big Data-Enabled Solutions Framework to Overcoming the Barriers to Circular Economy Initiatives in Healthcare Sector

Contact Info

Product

Resources

About